Cochlear implants having mri-compatible magnet apparatus and associated methods

ABSTRACT

A cochlear implant including a cochlear lead, an antenna, a stimulation processor, and a magnet apparatus, associated with the antenna, including a case defining a central axis, a magnet frame within the case and rotatable about the central axis of the case, and a plurality of elongate diametrically magnetized magnets that are located in the magnet frame, the magnets defining a longitudinal axis and a N-S direction and being freely rotatable about the longitudinal axis relative to the magnet frame.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a continuation-in-part of, and claims priority to, International Application No. PCT/US2016/056351, filed Oct. 11, 2016, which is a continuation-in-part of, and claims priority to, International Application No. PCT/US2015/066862, filed Dec. 18, 2015, both of which are incorporated herein by reference in their entirety.

BACKGROUND 1. Field

The present disclosure relates generally to the implantable portion of implantable cochlear stimulation (or “ICS”) systems.

2. Description of the Related Art

ICS systems are used to help the profoundly deaf perceive a sensation of sound by directly exciting the intact auditory nerve with controlled impulses of electrical current. Ambient sound pressure waves are picked up by an externally worn microphone and converted to electrical signals. The electrical signals, in turn, are processed by a sound processor, converted to a pulse sequence having varying pulse widths, rates, and/or amplitudes, and transmitted to an implanted receiver circuit of the ICS system. The implanted receiver circuit is connected to an implantable electrode array that has been inserted into the cochlea of the inner ear, and electrical stimulation current is applied to varying electrode combinations to create a perception of sound. The electrode array may, alternatively, be directly inserted into the cochlear nerve without residing in the cochlea. A representative ICS system is disclosed in U.S. Pat. No. 5,824,022, which is entitled “Cochlear Stimulation System Employing Behind-The-Ear Sound processor With Remote Control” and incorporated herein by reference in its entirety. Examples of commercially available ICS sound processors include, but are not limited to, the Advanced Bionics Harmony™ BTE sound processor, the Advanced Bionics Naída CI Q Series BTE sound processors and the Advanced Bionics Neptune™ body worn sound processor.

As alluded to above, some ICS systems include an implantable cochlear stimulator (or “cochlear implant”), a sound processor unit (e.g., a body worn processor or behind-the-ear processor), and a microphone that is part of, or is in communication with, the sound processor unit. The cochlear implant communicates with the sound processor unit and, some ICS systems include a headpiece that is in communication with both the sound processor unit and the cochlear implant. The headpiece communicates with the cochlear implant by way of a transmitter (e.g., an antenna) on the headpiece and a receiver (e.g., an antenna) on the implant. Optimum communication is achieved when the transmitter and the receiver are aligned with one another. To that end, the headpiece and the cochlear implant may include respective positioning magnets that are attracted to one another, and that maintain the position of the headpiece transmitter over the implant receiver. The implant magnet may, for example, be located within a pocket in the cochlear implant housing. The skin and subcutaneous tissue that separates the headpiece magnet and implant magnet is sometimes referred to as the “skin flap,” which is frequently 3 mm to 10 mm thick.

The magnitude of the retention force between the headpiece magnet and implant magnet is an important aspect of an ICS system. If the force is too low, the headpiece will not remain in place on the head during typical activities. If, on the other hand, the force is too high, the pressure on the skin flap can result is discomfort and tissue necrosis. The magnitude of the retention force is dictated by the strength of the magnets and the distance between the magnets, which is a function of the thickness of the skin flap. The strength of the headpiece magnet is frequently selected during the post-implantation headpiece fitting processes.

The present inventors have determined that conventional cochlear implants are susceptible to improvement. For example, the magnets in many conventional cochlear implants are disk-shaped and have north and south magnetic dipoles that are aligned in the axial direction of the disk. Such magnets are not compatible with magnetic resonance imaging (“MRI”) systems. In particular, the cochlear implant 10 illustrated in FIG. 1 includes, among other things, a housing 12 and a disk-shaped solid block magnet 14. The implant magnet produces a magnetic field M in a direction that is perpendicular to the patient's skin and parallel to the axis A, and this magnetic field direction is not aligned with, and may be perpendicular to (as shown), the direction of the MRI magnetic field B. The misalignment of the interacting magnetic fields M and B is problematic for a number of reasons. The dominant MRI magnetic field B (typically 1.5 Tesla or more) may demagnetize the implant magnet 14 or generate a significant amount of torque T on the implant magnet 14. The torque T may dislodge the implant magnet 14 from the pocket within the housing 12, reverse the magnet 14 and/or dislocate the cochlear implant 10, all of which may also induce tissue damage. One proposed solution involves surgically removing the implant magnet 14 prior to the MRI procedure and then surgically replacing the implant magnet thereafter.

One proposed solution involves the use of freely rotatable ball magnets that create a magnetic field which can rotate, from the aforementioned direction that is perpendicular to the patient's skin, to a direction that is aligned with the direction of the MRI magnetic field B. To that end, and referring to FIG. 2 , one proposed implantable magnet apparatus 20 includes a plurality of freely rotatable ball magnets 22 within a case 24. When the magnet apparatus 20 is in very close proximity to an external magnet 26, the ball magnets 22 will align with the external magnet 26 in the manner shown, with the N-S direction of the ball magnets being the same as that of the external magnet. When the external magnet 26 is removed (FIG. 3 ), the ball magnets 22 will align with one another. The ball magnets 22 will then rotate as necessary in response to the application of the MRI magnetic field, thereby minimizing the torque T, because the MRI magnetic field is far stronger than the attraction between the ball magnets. Turning to FIG. 4 , the present inventors have determined that the use of freely rotatable ball magnets 22 is less than optimal because the distance between implanted ball magnets (located within a cochlear implant 28) and the external magnet 26 (located within an external headpiece 30) is so great that the magnetic attraction between the ball magnets is greater than the magnetic attraction between the ball magnets and the external magnet. The N-S direction of the ball magnets 22 is perpendicular to the N-S direction of the external magnet 26. The increased distance, as compared to the distance illustrated in FIG. 3 , is a product of, for example, the presence of the implant and headpiece housings and the thickness of the skin flap. The weak magnetic attraction resulting from the misalignment of the magnetic fields prevents the headpiece from properly mounting to the patient's head. One possible solution is to simply increase the size of the external magnet, thereby increasing the strength of the associated magnetic field to the point at which the ball magnets 22 in a cochlear implant will rotate into the orientation illustrated in FIG. 2 . The present inventors have determined, however, that the associated increase in the size and weight of the headpiece is undesirable.

Another proposed solution is illustrated in FIG. 5 . Here, the cochlear implant 32 includes a diametrically magnetized disk-shaped magnet 34 that is rotatable relative to the remainder of the implant about an axis A, and that has a N-S orientation which is perpendicular to the axis A. The external headpiece 36 includes a diametrically magnetized disk-shaped magnet 38 that is not rotatable relative to the remainder of the headpiece. The implanted magnet 34 is able to rotate about the axis A into alignment with the external magnet 38, and is also able to rotate about the axis A into alignment with an MRI magnetic that is perpendicular to the axis A. Turning to FIG. 6 , the present inventors have determined that the use of the diametrically magnetized disk-shaped magnet 34 is less than optimal because a dominant magnetic field (e.g., the MRI magnetic field B) that is misaligned by 30° or more may demagnetize the magnet or generate an amount of torque T on the magnet that is sufficient to dislodge or reverse the magnet and/or dislocate the associated cochlear implant.

Another issue is associated with those instances where the user does not precisely position the headpiece 38 over the cochlear implant 32. Referring to FIG. 5 , when the headpiece 36 is precisely positioned over the cochlear implant 32, the diametrically magnetized implant magnet 34 will simply rotate into alignment with the non-rotatable diametrically magnetized headpiece magnet 38. The magnetic retention force will correspond to that selected during the fitting process. In those instances where the headpiece 36 is not precisely placed over the implant 32, and the implant magnet 34 will rotate into the magnetic alignment as shown in FIG. 6A. The magnetic retention force will not, however, be strong enough to pull the headpiece 36 (and its antenna) into alignment over the implant 32 (and its antenna). Moreover, even if the headpiece 36 eventually moves to the aligned position over the implant 32, the electronic lock between the sound processor unit and the cochlear implant will be based on the misaligned position.

SUMMARY

A cochlear implant in accordance with one of the present inventions may include a cochlear lead, an antenna, a stimulation processor, an implant magnet apparatus, associated with the antenna, including a case defining a central axis, a magnet frame within the case and rotatable about the central axis of the case, and a plurality of elongate diametrically magnetized magnets that are located in the magnet frame, the magnets defining a longitudinal axis and a N-S direction and being freely rotatable about the longitudinal axis relative to the magnet frame. A system in accordance with one of the present inventions includes such a cochlear implant and an external device. The external device may include an antenna and an external magnet.

There are a number of advantages associated with such apparatus and methods. For example, a strong magnetic field, such as an MRI magnetic field, will not demagnetize the magnet apparatus. Nor will it generate a significant amount of torque on the magnet apparatus and associated cochlear implant. As a result, surgical removal of the cochlear implant magnet prior to an MRI procedure, and then surgically replacement thereafter, is not required. Moreover, in the absence of the strong magnetic field, the magnetic attraction between rotatable magnets in the magnet apparatus will not cause the magnets to rotate into an undesirable N-S orientation.

The above described and many other features of the present inventions will become apparent as the inventions become better understood by reference to the following detailed description when considered in conjunction with the accompanying drawings.

BRIEF DESCRIPTION OF THE DRAWINGS

Detailed descriptions of the exemplary embodiments will be made with reference to the accompanying drawings.

FIG. 1 is a plan view showing a conventional cochlear implant in an MRI magnetic field.

FIG. 2 is a partial section view of a conventional implant magnet apparatus and external magnet.

FIG. 3 is a partial section view of a conventional implant magnet apparatus.

FIG. 4 is a partial section view of a headpiece and an implanted cochlear implant with a conventional implant magnet apparatus.

FIG. 5 is a partial section view of a headpiece and an implanted cochlear implant with a conventional implant magnet apparatus.

FIG. 6 is a partial section view of the implanted cochlear implant with a conventional implant magnet apparatus illustrated in FIG. 5 in an MRI magnetic field.

FIG. 6A is a partial section view of the implanted cochlear implant and headpiece illustrated in FIG. 5 with the headpiece misaligned.

FIG. 7 is a perspective view of an implant magnet apparatus in accordance with one embodiment of a present invention.

FIG. 8 is a perspective view of a portion of the implant magnet apparatus illustrated in FIG. 7 .

FIG. 9 is a diagrammatic view of a system including the magnet apparatus illustrated in FIG. 7 and a headpiece.

FIG. 9A is a diagrammatic view of a system including the magnet apparatus illustrated in FIG. 7 and a misaligned headpiece.

FIG. 10 is an exploded view of the implant magnet apparatus illustrated in FIG. 7 .

FIG. 11 is an end view of a portion of the implant magnet apparatus illustrated in FIG. 7 .

FIG. 12 is a perspective view of a portion of the implant magnet apparatus illustrated in FIG. 7 .

FIG. 13 is a plan view of a portion of the implant magnet apparatus illustrated in FIG. 7 .

FIG. 14 is a section view taken along line 14-14 in FIG. 7 .

FIG. 14A is a section view showing a portion of the implant magnet apparatus illustrated in FIG. 14 in a different orientation.

FIG. 15 is a section view similar to FIG. 14 with the implant magnet apparatus in an MRI magnetic field.

FIG. 16 is a perspective view of an implant magnet apparatus in accordance with one embodiment of a present invention.

FIG. 17 is a section view taken along line 17-17 in FIG. 16 .

FIG. 18 is an exploded view of the implant magnet apparatus illustrated in FIG. 16 .

FIG. 18A is an enlarged portion of the section view illustrated in FIG. 17 .

FIG. 18B is an enlarged portion of the section view illustrated in FIG. 17 .

FIG. 19 is a perspective view of a portion of an implant magnet apparatus.

FIG. 20 is an end view of the portion of an implant magnet apparatus illustrated in FIG. 19 .

FIG. 21 is a perspective view of an implant magnet apparatus in accordance with one embodiment of a present invention.

FIG. 22 is a perspective view of a portion of the implant magnet apparatus illustrated in FIG. 21 .

FIG. 23 is a perspective view of a portion of the implant magnet apparatus illustrated in FIG. 21 .

FIG. 24 is a plan view of a portion of the implant magnet apparatus illustrated in FIG. 21 .

FIG. 25 is a section view taken along line 25-25 in FIG. 21 .

FIG. 26 is a perspective view of an implant magnet apparatus in accordance with one embodiment of a present invention.

FIG. 27 is a perspective view of a portion of the implant magnet apparatus illustrated in FIG. 26 .

FIG. 28 is a perspective view of a portion of the implant magnet apparatus illustrated in FIG. 26 .

FIG. 29 is a section view taken along line 29-29 in FIG. 26 .

FIG. 30 is a perspective view of an implant magnet apparatus in accordance with one embodiment of a present invention.

FIG. 31 is a perspective view of a portion of the implant magnet apparatus illustrated in FIG. 30 .

FIG. 32 is an exploded view of the implant magnet apparatus illustrated in FIG. 30 .

FIG. 33 is an end view of a portion of the implant magnet apparatus illustrated in FIG. 30 .

FIG. 34 is a top view of a portion of the implant magnet apparatus illustrated in FIG. 30 .

FIG. 35 is a section view taken along line 35-35 in FIG. 30 .

FIG. 36 is a side view of a portion of the implant magnet apparatus illustrated in FIG. 30 .

FIG. 37 is an exploded section view of a portion of the implant magnet apparatus illustrated in FIG. 30 .

FIG. 38 is a perspective view of a portion of the implant magnet apparatus illustrated in FIG. 30 .

FIG. 39 is a perspective view of a portion of the implant magnet apparatus illustrated in FIG. 30 .

FIG. 40 is a perspective view of a portion of the implant magnet apparatus illustrated in FIG. 30 .

FIG. 41 is a side view of a portion of the implant magnet apparatus illustrated in FIG. 30 .

FIG. 42 is a perspective view of an implant magnet apparatus in accordance with one embodiment of a present invention.

FIG. 43 is a perspective view of a portion of the implant magnet apparatus illustrated in FIG. 42 .

FIG. 44 is a section view taken along line 44-44 in FIG. 42 .

FIG. 45 is a section view of an implant magnet apparatus in accordance with one embodiment of a present invention.

FIG. 46 is a plan view of a cochlear implant in accordance with one embodiment of a present invention.

FIG. 47 is a block diagram of a cochlear implant system in accordance with one embodiment of a present invention.

DETAILED DESCRIPTION OF THE EXEMPLARY EMBODIMENTS

The following is a detailed description of the best presently known modes of carrying out the inventions. This description is not to be taken in a limiting sense, but is made merely for the purpose of illustrating the general principles of the inventions.

As illustrated for example in FIGS. 7 and 8 , an exemplary magnet apparatus 100 includes a case 102, with base 104 and a cover 106, a magnet frame 108, and a plurality of elongate diametrically magnetized magnets 110 within the frame that define a N-S direction. The magnet apparatus 100 may, in some instances, be employed a system 50 (FIG. 9 ) that includes a cochlear implant 200 (described below with reference to FIG. 46 ) with the magnet apparatus 100 and an external device such as a headpiece 400 (described below with reference to FIG. 47 ). The headpiece 400 includes, among other things, a housing 402 and a diametrically magnetized disk-shaped positioning magnet 410 that is not rotatable relative to the housing.

The exemplary case 102 is disk-shaped and defines a central axis A1, which is also the central axis of the magnet frame 108. The magnet frame 108 is freely rotatable relative to the case 102 about the central axis A1 over 360°. The magnets 110 rotate with the magnet frame 108 about the central axis A1. Each magnet 110 is also freely rotatable relative to the magnet frame 108 about its own longitudinal axis A2 (also referred to as “axis A2”) over 360°. As used herein, the phrase “freely rotatable about an axis” refers to an object that can rotate about an axis relative to an adjacent object, albeit with some friction between the two object, without mechanical limitation of the rotation (e.g., with a stop or biasing device that opposes the rotation). In the illustrated implementation, the longitudinal axes A2 are parallel to one another and are perpendicular to the central axis A1. In other implementations, the magnets within a magnet apparatus may be oriented such that the longitudinal axes thereof are at least substantially perpendicular to the central axis A1. As used herein, an axis that is “at least substantially perpendicular to the central axis” includes axes that are perpendicular to the central axis as well as axes that are slightly non-perpendicular to the central axis (i.e., axes that are offset from perpendicular by up to 5 degrees). Examples of such magnet apparatus are described below with reference to FIGS. 30-45 .

Given the ability of each magnet 110 to freely rotate about its longitudinal axis A2, the magnets 110 align with one another in the N-S direction in the absence of a relatively strong external magnetic field (e.g., the MRI magnetic field discussed above), and the at rest N-S orientation of the magnets 110 will be perpendicular to the central axis A1, as is illustrated in FIGS. 9 and 14 . So oriented, the magnetic fields of the diametrically magnetized magnets 110 are aligned with the magnetic field of the diametrically magnetized disk-shaped positioning magnet 410.

It should also be noted here that the magnetic field of the positioning magnet 410 is not strong enough to cause the magnets 110 to rotate out of the illustrated at rest N-S orientation. Although the frame 108 will rotate as necessary, the magnets 110 will remain in the N-S orientation illustrated in FIG. 9 and will continue to function as a magnetic unit in the presence of a headpiece magnet. As a result, when the associated headpiece is initially misaligned in the manner illustrated in FIG. 9A, the magnetic retention force will be strong enough to pull the headpiece 400 (and its antenna) into alignment over the implant 200 (and its antenna).

The exemplary case 102 is not limited to any particular configuration, size or shape. In the illustrated implementation, the case 102 is a two-part structure that includes the base 104 and the cover 106 which are secured to one another in such a manner that a hermetic seal is formed between the cover and the base. Suitable techniques for securing the cover 106 to the base 104 include, for example, seam welding with a laser welder. With respect to materials, the case 102 (as well as the cases 102 b-102 e described below with reference to FIGS. 21-45 ) may be formed from biocompatible paramagnetic metals, such as titanium or titanium alloys, and/or biocompatible non-magnetic plastics such as polyether ether ketone (PEEK), low-density polyethylene (LDPE), high-density polyethylene (HDPE), ultra-high-molecular-weight polyethylene (UHMWPE), polytetrafluoroethylene (PTFE) and polyamide. In particular, exemplary metals include commercially pure titanium (e.g., Grade 2) and the titanium alloy Ti-6Al-4V (Grade 5), while exemplary metal thicknesses may range from 0.20 mm to 0.25 mm. With respect to size and shape, the case 102 may have an overall size and shape similar to that of conventional cochlear implant magnets so that the magnet apparatus 100 can be substituted for a conventional magnet in an otherwise conventional cochlear implant. In some implementations, the diameter that may range from 9 mm to 16 mm and the thickness may range from 1.5 mm to 3.0 mm. The diameter of the case 102 is 12.9 mm, and the thickness is 2.4 mm, in the illustrated embodiment.

Although the present inventions are not limited to any particular number, there are four elongate diametrically magnetized magnets 110 in the exemplary magnet apparatus 100. Two of the otherwise identical magnets 110 are relatively long and two are relatively short in order to efficiently utilize the available volume within the case 102, as is best shown in FIG. 8 . Turning to FIGS. 10-12 , the exemplary magnets 110 are non-circular in a cross-section that is perpendicular to the longitudinal axis A2 and, in the illustrated implementation, include curved surfaces 112 and flat surfaces 114. The magnet width W_(M), which extends in the N-S direction, is greater than the magnet thickness T_(M), which extends in a direction perpendicular to the N-S direction. The use of elongate diametrically magnetized magnets that are larger in the N-S direction than in the direction perpendicular thereto reduces the likelihood of magnet damage, as is discussed in greater detail below with reference to FIG. 14 . Nevertheless, in other implementations, the cross-sectional shape may be circular. The magnet lengths L_(M) of the relatively long and short magnets 110, i.e. the length in the direction of longitudinal axis A2, are greater than the magnet width W_(M) and magnet thickness T_(M). Suitable materials for the magnets 110 include, but are not limited to, neodymium-boron-iron and samarium-cobalt.

As illustrated in FIGS. 10 and 13 , the exemplary magnet frame 108 includes a disk 116 and a plurality of magnet receptacles 118 that extend completely through the disk and define walls 119 that are located between adjacent magnets 110. Two of the otherwise identical magnet receptacles 118 are relatively long and two are relatively short. The magnet receptacles 118, which are rectangular in shape, have receptacle lengths L_(R) that are substantially equal to (i.e., about 50-100 μm greater than) the magnet lengths L_(M), and receptacle widths W_(R) that are substantially equal to (i.e., about 25-50 μm greater than) the magnet widths W_(M). The receptacle thicknesses T_(R), one the other hand, are substantially greater than (i.e., about 100-200 μm greater than) the magnet thicknesses T_(M). The use of a magnet receptacle that is thicker than the magnet reduces the likelihood of magnet damage, as is discussed in greater detail below with reference to FIG. 14 . In those instances where the apparatus includes magnets with circular cross-sections, similar magnet protection functionality can be achieved by employing a frame that is thicker than the magnet diameter. Suitable materials for the frame 108 (as well as the frames 108 b-108 e described below with reference to FIGS. 21-45 ), which may be formed by machining or injection molding, include paramagnetic metals, polymers and plastics such as those discussed above in the context of the case 102.

As illustrated for example in FIG. 14 , absent a dominant MRI magnetic field B, the magnets 110 will remain aligned with one another in the N-S direction and the N-S orientation of the magnets will be perpendicular to the central axis A1 of the case 102. So oriented, the flat surfaces 114 of the magnets 110 will be aligned with one another, will be perpendicular to the central axis A1 and will face the inner surface 120 of the case 102. The N-S orientation of the magnets 110 remains the same, i.e. perpendicular to the central axis A1, both when the external diametrically magnetized disk-shaped positioning magnet 410 is present (FIG. 9 ) and when it is not (FIG. 14 ).

A gap G, resulting from the difference in receptacle thicknesses T_(R) and magnet thicknesses T_(M), is located between one of the flat surfaces 114 of each magnet and the inner surface 120 of the case 102 that the flat surface faces. The gap G protects the magnets 110, especially those formed from somewhat brittle ceramic materials, from impacts to the exterior surface of case 102. For example, when the magnet apparatus 100 is oriented in the manner illustrated in FIG. 14 and is impacted by a force F1, the deflection of the case 102 (if any) into the magnet receptacle 118 will not be large enough for the inner surface 120 to impact the adjacent magnet surface 114. If, on the other hand, a force F2 causes deflection of a portion of the case 102 into the magnet receptacle 118, the magnet 110 will slide into the gap G. In both instances, impact on the magnets 100 is minimized. Turning to FIG. 14A, it should be noted that the magnets 110 need not be posited such that one of the flat surfaces 114 is in contact with an inner surface 120 of case 102 to benefit from the gap G. Here, due to the position of the magnet 110, both of the flat surfaces 114 are located adjacent to a portion of the now-split gap G shown in FIG. 14 . Accordingly, in those instances where deflection of the case 102 due to force F3 is sufficient to cause the inner surface 120 to come into contact with the adjacent flat surface 114, the magnet 110 can move into the portion of the gap adjacent to the opposite flat surface 114 to prevent magnet damage.

Turning to FIG. 15 , when exposed to a dominant MRI magnetic field B, the torque T on the magnets 110 will rotate the magnets about their axis A2 (FIG. 8 ), thereby aligning the magnetic fields of the magnets 110 with the MRI magnetic field B. The magnet frame 108 will also rotate about axis A1 as necessary to align the magnetic fields of the magnets 110 with the MRI magnetic field B. When the magnet apparatus 100 is removed from the MRI magnetic field B, the magnetic attraction between the magnets 110 will cause the magnets to rotate about axis A2 back to the orientation illustrated in FIG. 14 , where they are aligned with one another in the N-S direction and the N-S orientation of the magnets is perpendicular to the central axis A1 of the case 102.

To facilitate rotation of the magnet frame 108 and/or the magnets 110, lubricious friction reducing material may be provided between the case 102 and the magnet frame 108 and/or between the magnets 110 and the case 102 and magnet frame 108. For example, the magnet apparatus 100 a illustrated in FIGS. 16-18 is substantially similar to the magnet apparatus 100 and similar elements are represented by similar reference numerals. Here, however, a pair of lubricious disks 122 and a lubricious ring 124 formed from PTFE, a hard material (e.g. titanium) with a lubricious coating, or other suitable materials are positioned between the case 102 and the magnet frame 108. Alternatively, instead of two lubricious disks, a single lubricious disk 122 may be positioned on the magnet frame 108 and the portion of the case 102 that will face the external headpiece. In other implementations, a lubricious layer 126 may be added to the inner surface of the case 102 and/or some or all of the various surfaces of the frame 108. The lubricious layer 126 may be in the form of a specific finish of the inner surface that reduces friction, as compared to an unfinished surface, or may be a coating of a lubricious material such as diamond-like carbon (DLC), titanium nitride (TiN), PTFE, polyethylene glycol (PEG), Parylene, fluorinated ethylene propylene (FEP) and electroless nickel sold under the tradenames Nedox® and Nedox PF™. The DLC coating, for example, may be only 0.5 to 5 microns thick. In those instances where the base 104 and a cover 106 are formed by stamping, the finishing process may occur prior to stamping. Micro-balls, biocompatible oils and lubricating powders may also be added to the interior of the case 102 to reduce friction.

Alternatively, or in addition, the magnets 110 may be located within tubes 128 formed from low friction material, as is illustrated in FIGS. 19 and 20 . Suitable materials for the tube 128 include polymers, such as silicone, PEEK and other plastics, PTFE, and PEEK-PTFE blends, and paramagnet metals. The magnets 110 may be secured to the tubes 128 such that the each tube rotates with the associated magnet about its axis A2, or the magnets may be free to rotate relative to the tubes. The magnet/tube combination is also more mechanically robust than a magnet alone. The magnets 110 may, in place of the tube 128, be coated with the lubricious materials discussed above.

Another exemplary magnet apparatus, which is generally represented by reference numeral 100 b in FIGS. 21-25 , is substantially similar to the magnet apparatus 100 and similar elements are represented by similar reference numerals. To that end, the magnet apparatus 100 b includes a case 102 b, with a base 104 b and a cover 106 b, a magnet frame 108 b, and a plurality of elongate diametrically magnetized magnets 110 b within the frame. The frame 108 b does not include a plurality of magnet receptacles and walls 119 (FIGS. 10 and 13 ) that separate adjacent magnets, as does the frame 108, or any other frame structures that separate the magnets. Instead, the frame 108 b includes a disk 116 b and a single magnet receptacle 118 b that extends completely through the disk. The magnet receptacle 118 b is configured to hold all of the magnets 110 b (four in the illustrated embodiment) and includes a relatively long portion and two relatively short portions. The magnets 110 b are elongate diametrically magnetized magnets that are circular in cross-section, located within low friction tubes 128, and include rounded corners 111 b. The magnets 110 with flat surface 114 (described above with reference to FIGS. 19 and 20 ) may also be employed.

In the illustrated implementation, the surfaces of the frame 108 b are coated with a lubricious layer 126 (e.g., DLC), while the inner surfaces of the case 102 do not include a lubricious layer. The very thin lubricious layer 126 reduces friction between the case 102 and frame 108 b, while the low friction tubes 128 reduce friction between adjacent magnets 110 b as well as between the case 102 and the magnets 110 b. As such, the aforementioned lubricious disks 122 and a lubricious ring 124 may be omitted, thereby reducing the diameter and thickness of the magnet apparatus 100 b as compared to magnet apparatus 100 a (FIGS. 16-18 ). Additionally, although the diameters of the magnets 110 b in the exemplary magnet apparatus 100 b are equal to the widths of the magnets 110 (FIG. 11 ) in the exemplary magnet apparatus 100, the omission of the walls 119 between the magnets reduces the overall diameter of the magnet apparatus 100 b by an amount ΔD1 (FIG. 25 ). The diameter of the case 102 b is 12.6 mm, and the thickness is 2.9 mm, in the illustrated embodiment.

The overall diameter of the magnet apparatus may be further reduced by reducing the number of magnets in the apparatus while maintaining the same magnetic strength by including the same total volume of magnet material. To that end, and referring to FIGS. 26-29 , the exemplary magnet apparatus 100 c is substantially similar to magnet apparatus 100 b and similar elements are represented by similar reference numbers. The magnet apparatus 100 c includes a case 102 c, with a base 104 c and a cover 106 c, a magnet frame 108 c, and a plurality of elongate diametrically magnetized magnets 110 c within the frame. The frame 108 c includes a disk 116 c and a single magnet receptacle 118 c, with a relatively long portion and two relatively short portions, which extends completely through the disk.

Here, three magnets 110 c with flat portions 114 c are located within the magnet receptacle 118 c. Low friction tubes 128 c cover the magnets 110 c. The reduction in the number of magnets reduces the overall diameter of the magnet apparatus 100 s, as compared to the magnet apparatus 100 b, by an amount ΔD2 (FIG. 29 ). It should be noted that the widths of the magnets 110 c (FIG. 29 ) are greater than diameters of the magnets 110 b (FIG. 25 ) in order to provide the same volume of magnetic material, which results in a slight increase in the overall thickness of the magnet apparatus 100 c as compared to the magnet apparatus 100 b. The diameter of the case 102 c is 11.6 mm, and the thickness is 3.2 mm, in the illustrated embodiment.

Another exemplary magnet apparatus, which is generally represented by reference numeral 100 d, is illustrated in FIGS. 30-41 . Magnet apparatus 100 d is substantially similar to the magnet apparatus 100 b and similar elements are represented by similar reference numerals. To that end, the magnet apparatus 100 d includes a case 102 d, with a base 104 d and a cover 106 d, a magnet frame 108 d, and a plurality of elongate diametrically magnetized magnets 110 d within the frame. The frame 108 d includes a disk 116 d and a single magnet receptacle 118 d that extends completely through the disk. The magnet receptacle 118 d is configured to hold all of the magnets 110 d (six in the illustrated embodiment) and includes a relatively long portion and two relatively short portions. The magnets 110 d are elongate diametrically magnetized magnets that are circular in cross-section, located within low friction tubes 128 d, and include rounded corners 111 d. The magnets 110 with flat surface 114 (described above with reference to FIGS. 19 and 20 ) may also be employed.

Here, however, at least two of the magnets are slightly non-perpendicular to the central axis A1 (i.e., have axes that are offset from perpendicular by any and all angles up to and including 5 degrees), as is discussed in greater detail below with reference to FIGS. 35-37 . Referring first to FIGS. 30-34 , four of the magnets 110 d in the illustrated implementation have a longitudinal axis (or “axis”) that is slightly non-perpendicular to the central axis A1 (referred to herein as “slightly non-perpendicular magnets”) and the remaining two magnets have respective axes that are perpendicular to the central axis A1 (referred to herein as the “perpendicular magnets”). The slightly non-perpendicular magnets are arranged in two pairs, the magnets in each pair are positioned end-to-end, and the ends of the magnets in each pair abut one another near the central axis A1.

The north dipoles of the slightly non-perpendicular magnets 110 d in the exemplary magnet apparatus 100 d are aligned with one another within each pair, as are the south dipoles, so that each pair functions in a manner similar to the longer magnets 110 b of the magnet apparatus 100 b. Such N-N and S-S dipole alignment can be problematic during assembly because the dipoles repel one another. Connectors 130 d, which are discussed below with reference to FIGS. 40 and 41 , may be provided to maintain the desired orientation of the magnets 110 d in each pair during the assembly process. Although the strength of the connection between the magnets 110 d and the connectors 130 d is sufficient to facilitate assembly, the magnets will rotate about their longitudinal axis as necessary when exposed to an MRI magnet field. The low friction tubes 128 d cover less of the connected magnets 110 d due to the presence of the connector 130 d. Other apparatus and methods for accommodating dipole alignment during the assembly process are discussed below with reference to FIGS. 42-45 .

Turning to FIGS. 35-37 , the orientation of the slightly non-perpendicular magnets 110 d may be a function of the shape of the case 102. In the illustrated implementation, the case base 104 d includes a convex inner surface 132 d. The central axis A1 passes through the apex of the convex inner surface 132 d, and the abutting ends of the slightly non-perpendicular magnets 110 d are adjacent to the apex. The use of the frame 108 d and the shape of the convex inner surface 132 d results in the axes A3 of the slightly non-perpendicular magnets 110 d being slightly non-perpendicular to the central axis A1 (i.e., offset from perpendicular by any non-zero angle Θ up to 5 degrees, and by 3 degrees in the illustrated embodiment) and the axes A2 of the perpendicular magnets 110 d being perpendicular to the central axis A1. These magnet orientations are maintained as the frame 108 d rotates relative to the case 102 d and/or as the magnets rotate about their respective axes A2 and A3.

The magnet frame may be configured to accommodate the curvature of the convex inner surface 132 d of the case base 104 d. To that end, and referring to FIGS. 38 and 39 , the exemplary frame 108 d includes a concave bottom surface 134 d with a shape corresponding to that of the convex inner surface 132 d of the case base 104 d. The shape of the frame upper surface 136 d may similarly correspond to that of the inner surface 133 d of the case cover 106 d and, in the illustrated implementation, both surfaces are flat.

As illustrated for example in FIGS. 40 and 41 , the exemplary connectors 130 d each include a pair of connector members 138 d that are attached to one another at an angle (corresponding to the relative orientation of the associated slightly non-perpendicular magnets 110 d) with a gap 140 therebetween. Each connector member 138 d includes a tubular wall 142 d and an end wall 144 d. The respective sizes of the magnets 110 d and the tubular walls 142 d results in an interference fit that is sufficient to maintain end-to-end dipole alignment during assembly, but will allow the magnets will rotate about their longitudinal axis relative to the associated connector 130 d as necessary when exposed to an MRI magnet field. In some instances, adhesive may be used to secure the ends of the magnets 110 d to the connectors 130 d. The adhesive bonds will fail, thereby permitting magnet rotation, under the torque imparted by an MRI magnet field.

Another exemplary magnet apparatus, which is generally represented by reference numeral 100 e, is illustrated in FIGS. 42-44 . Magnet apparatus 100 e is substantially similar to the magnet apparatus 100 d and similar elements are represented by similar reference numerals. To that end, the magnet apparatus 100 e includes a case 102 e, with a base 104 e and a cover 106 e, a magnet frame 108 e, and a plurality of elongate diametrically magnetized magnets 110 e within the frame. The frame 108 e includes a disk 116 e and a single magnet receptacle 118 e that extends completely through the disk. The magnet receptacle 118 e is configured to hold all of the magnets 110 e (six in the illustrated embodiment) and includes a relatively long portion and two relatively short portions. The magnets 110 e are elongate diametrically magnetized magnets that are circular in cross-section, located within low friction tubes 128 e, and include rounded corners 111 e. The magnets 110 with flat surface 114 (described above with reference to FIGS. 19 and 20 ) may also be employed.

Here, however, the above-described connector 130 d has been omitted, and there is no other instrumentally connecting the end of the slightly non-perpendicular magnets 110 e to one another. In some instances, the magnets 110 e may be de-magnetized (or “non-magnetic”) during the assembly process and then magnetized after the magnet apparatus 100 e has been assembled. It should also be noted here that the magnets in any of the other embodiments described herein may be magnetized either before or after assembly.

Turning to FIG. 45 , the exemplary magnet apparatus 100 e′ is essentially identical to the magnet apparatus 100 e and similar elements are represented by similar reference numerals. Here, however, the ends of the slightly non-perpendicular magnets 110 e are secured to one other with adhesive 146. The bond formed by the adhesive 146 will maintain end-to-end dipole alignment during assembly, but will fail and allow the magnets 110 e to rotate about their respective longitudinal axes when exposed to an MRI magnet field.

One example of a cochlear implant (or “implantable cochlear stimulator”) including the present magnet apparatus 100 (or 100 a-100 e′) is the cochlear implant 200 illustrated in FIG. 46 . The cochlear implant 200 includes a flexible housing 202 formed from a silicone elastomer or other suitable material, a processor assembly 204, a cochlear lead 206, and an antenna 208 that may be used to receive data and power by way of an external antenna that is associated with, for example, a sound processor unit. The cochlear lead 206 may include a flexible body 210, an electrode array 212 at one end of the flexible body, and a plurality of wires (not shown) that extend through the flexible body from the electrodes 212 a (e.g., platinum electrodes) in the array 212 to the other end of the flexible body. The magnet apparatus 100 is located within a region encircled by the antenna 208 (e.g., within an internal pocket 202 a defined by the housing 202) and insures that an external antenna (discussed below) will be properly positioned relative to the antenna 208. The exemplary processor assembly 204, which is connected to the electrode array 212 and antenna 208, includes a printed circuit board 214 with a stimulation processor 214 a that is located within a hermetically sealed case 216. The stimulation processor 214 a converts the stimulation data into stimulation signals that stimulate the electrodes 212 a of the electrode array 212.

Turning to FIG. 47 , the exemplary cochlear implant system 60 includes the cochlear implant 200, a sound processor, such as the illustrated body worn sound processor 300 or a behind-the-ear sound processor, and a headpiece 400.

The exemplary body worn sound processor 300 in the exemplary ICS system 60 includes a housing 302 in which and/or on which various components are supported. Such components may include, but are not limited to, sound processor circuitry 304, a headpiece port 306, an auxiliary device port 308 for an auxiliary device such as a mobile phone or a music player, a control panel 310, one or more microphones 312, and a power supply receptacle 314 for a removable battery or other removable power supply 316 (e.g., rechargeable and disposable batteries or other electrochemical cells). The sound processor circuitry 304 converts electrical signals from the microphone 312 into stimulation data. The exemplary headpiece 400 includes a housing 402 and various components, e.g., a RF connector 404, a microphone 406, an antenna (or other transmitter) 408 and a diametrically magnetized disk-shaped positioning magnet 410, that are carried by the housing. The headpiece 400 may be connected to the sound processor headpiece port 306 by a cable 412. The positioning magnet 410 is attracted to the magnet apparatus 100 of the cochlear stimulator 200, thereby aligning the antenna 408 with the antenna 208. The stimulation data and, in many instances power, is supplied to the headpiece 400. The headpiece 400 transcutaneously transmits the stimulation data, and in many instances power, to the cochlear implant 200 by way of a wireless link between the antennae. The stimulation processor 214 a converts the stimulation data into stimulation signals that stimulate the electrodes 212 a of the electrode array 212.

In at least some implementations, the cable 412 will be configured for forward telemetry and power signals at 49 MHz and back telemetry signals at 10.7 MHz. It should be noted that, in other implementations, communication between a sound processor and a headpiece and/or auxiliary device may be accomplished through wireless communication techniques. Additionally, given the presence of the microphone(s) 312 on the sound processor 300, the microphone 406 may be also be omitted in some instances. The functionality of the sound processor 300 and headpiece 400 may also be combined into a single head wearable sound processor. Examples of head wearable sound processors are illustrated and described in U.S. Pat. Nos. 8,811,643 and 8,983,102, which are incorporated herein by reference in their entirety.

Although the inventions disclosed herein have been described in terms of the preferred embodiments above, numerous modifications and/or additions to the above-described preferred embodiments would be readily apparent to one skilled in the art. The inventions include any combination of the elements from the various species and embodiments disclosed in the specification that are not already described. It is intended that the scope of the present inventions extend to all such modifications and/or additions and that the scope of the present inventions is limited solely by the claims set forth below. 

1-29. (canceled)
 30. A cochlear implant, comprising: a cochlear lead including a plurality of electrodes; an antenna; a stimulation processor operably connected to the antenna and to the cochlear lead; a flexible housing defining a magnet pocket; a hermetically sealed case located within the magnet pocket and defining a central axis; a frame located within the hermetically sealed case, rotatable relative to the hermetically sealed case about the central axis, and including a first magnet receptacle and a second magnet receptacle that is spaced from the first magnet receptacle in a direction perpendicular to the central axis; and a first elongate diametrically magnetized magnet located in the first magnet receptacle and a second elongate diametrically magnetized magnet located in the second magnet receptacle, the first and second magnets each defining a longitudinal axis and a N-S direction and being rotatable about its respective longitudinal axis relative to the frame.
 31. A cochlear implant as claimed in claim 30, wherein the respective configurations of the hermetically sealed case and the frame are such that the frame is freely rotatable relative to the hermetically sealed case.
 32. A cochlear implant as claimed in claim 30, wherein the respective configurations of the hermetically sealed case and the frame are such that, but for friction, there is no mechanical limitation of the rotation of the frame relative to the hermetically sealed case.
 33. A cochlear implant as claimed in claim 30, wherein the first and second magnet receptacles extend completely through the frame.
 34. A cochlear implant as claimed in claim 30, wherein the frame defines a thickness; and the first and second magnets each define a diameter that is less than the frame thickness.
 35. A cochlear implant as claimed in claim 30, wherein the frame is formed from a material selected from the group consisting of paramagnetic metals, polymers and plastics.
 36. A cochlear implant as claimed in claim 30, wherein the frame includes a third magnet receptacle that is spaced from the first and second magnet receptacles; and a third elongate diametrically magnetized magnet is located in the third magnet receptacle, defines a longitudinal axis and a N-S direction, and is rotatable about its longitudinal axis relative to the frame.
 37. A cochlear implant as claimed in claim 36, wherein the third magnet is smaller than the first and second magnets.
 38. A cochlear implant as claimed in claim 36, wherein the first, second and third magnets each define a length in the direction of their longitudinal axis; and the length of the third magnet is less than the lengths of the first and second magnets.
 39. A cochlear implant as claimed in claim 30, wherein the first and second magnets each define a N-S rotational orientation; and the first and second magnets are magnetically attracted to one another in a manner that, absent the presence of a dominant magnetic field, the N-S rotational orientation of the first and second magnets is perpendicular to the central axis of the case.
 40. A cochlear implant as claimed in claim 30, wherein the longitudinal axes of the first and second magnets are parallel to one another.
 41. A cochlear implant as claimed in claim 30, wherein the longitudinal axes of the magnets are at least substantially perpendicular to the central axis.
 42. A cochlear implant as claimed in claim 30, further comprising: lubricious material between the case and the frame.
 43. A cochlear implant as claimed in claim 30, further comprising: lubricious material between the first and second magnets and the frame.
 44. An assembly, comprising: a hermetically sealed case defining a central axis; a frame located within the hermetically sealed case, rotatable relative to the hermetically sealed case about the central axis, and including a first magnet receptacle and a second magnet receptacle that is spaced from the first magnet receptacle in a direction perpendicular to the central axis; and a first elongate diametrically magnetized magnet located in the first magnet receptacle and a second elongate diametrically magnetized magnet located in the second magnet receptacle, the first and second magnets each defining a longitudinal axis and a N-S direction and being rotatable about its respective longitudinal axis relative to the frame.
 45. An assembly as claimed in claim 44, wherein the respective configurations of the hermetically sealed case and the frame are such that the frame is freely rotatable relative to the hermetically sealed case.
 46. An assembly as claimed in claim 44, wherein the respective configurations of the hermetically sealed case and the frame are such that, but for friction, there is no mechanical limitation of the rotation of the frame relative to the hermetically sealed case.
 47. An assembly as claimed in claim 44, wherein the first and second magnet receptacles extend completely through the frame.
 48. An assembly as claimed in claim 44, wherein the frame defines a thickness; and the first and second magnets each define a diameter that is less than the frame thickness.
 49. An assembly as claimed in claim 44, wherein the frame is formed from a material selected from the group consisting of paramagnetic metals, polymers and plastics.
 50. An assembly as claimed in claim 44, wherein the frame includes a third magnet receptacle that is spaced from the first and second magnet receptacles; and a third elongate diametrically magnetized magnet is located in the third magnet receptacle, defines a longitudinal axis and a N-S direction, and is rotatable about its longitudinal axis relative to the frame.
 51. An assembly as claimed in claim 50, wherein the third magnet is smaller than the first and second magnets.
 52. An assembly as claimed in claim 50, wherein the first, second and third magnets each define a length in the direction of their longitudinal axis; and the length of the third magnet is less than the lengths of the first and second magnets.
 53. An assembly as claimed in claim 44, wherein the first and second magnets each define a N-S rotational orientation; and the first and second magnets are magnetically attracted to one another in a manner that, absent the presence of a dominant magnetic field, the N-S rotational orientation of the first and second magnets is perpendicular to the central axis of the case.
 54. An assembly as claimed in claim 44, wherein the longitudinal axes of the first and second magnets are parallel to one another.
 55. An assembly as claimed in claim 44, wherein the longitudinal axes of the magnets are at least substantially perpendicular to the central axis.
 56. An assembly as claimed in claim 44, further comprising: lubricious material between the case and the frame.
 57. An assembly as claimed in claim 44, further comprising: lubricious material between the first and second magnets and the frame. 